Jump to content
  • Welcome to the TransPulse Forums!

    We offer a safe, inclusive community for transgender and gender non-conforming folks, as well as their loved ones, to find support and information.  Join today!

Hrt Question...


Guest Danielle4Life

Recommended Posts

Guest Danielle4Life

Hey guys!

I have been on Premarin for almost 3 months (starting January 13th) and I stopped the treatment abruptly just before the 3 months. Before I stopped it, under the supervision of my physician, she examined my testicles and scrotum and determined that they have atrophisized... She said she didn't think I was sterile, but my spermatogenesis has probably weakened. My question for you is: would it be reversible to retain the same fertility as before and have my "bits" enlarged naturally, is this effect reversible given the amount of time I have been on estrogen HRT?

I've been told by some transgirls that I would be fine, considering the length on hormones.

Cheers!

Edited by Sally
Deleted doseages - not allowed to discuss dosages of hormones prescribed or otherwise.
Link to comment

DanielleLlife,

I don't know for sure but it would seem to me that the removal of the HRT would cause your body chemistry to revert to male - how much effect that would have on on everything is better determined by a doctor but really only time will tell.

Love ya,

Sally

Link to comment

Usually after the six month point it starts to become permanent, but everyone is different. You may may have some reduced sperm count even after returning to normal, the only way to know for sure is to be tested, but your doctor can advise you on this.

Paula.

Link to comment
Guest Elizabeth K

WHY Premarin? Why would you want to stop HRT? If you wish to bank sperm, you can discuss that with your doctor.

I don't know of any physicians who use that particular estrogen product for HRT in transsexuals as it is used for menapause or histerectomy in natal women and has more potential side affects. I have been on HRT for four months - there is a reduction - I would not call it atrophy, which requires several years. I hope you are not self-medicating.

I hear that estrogen replacement (it has to be used in conjunction with the T-blocker treatment) is reversable for a few months - but as Paula says, it will become non-reversable. YMMV - as always 'Your Mileage May Vary." We are not physicians here, so you will want to ask your Doctor.

Hope this helps.

Lizzy

Link to comment

In my Quest for information on Estrogen i have done quite a bit of research and gained quite a bit of knowledge on the subject, and thought i would share it here. Hormones need to be prescribed by a doctor or endo and blood tests need to be run periodically to check liver function, potassium levels, if on Spiro, Testosterone, Estrogen levels and any others the doctor sees as necessary.

Premarin and Ethinyl Estradiol (EE) both need to make many passes thru the liver and thus has a high clotting factor in addition to being hard on the liver, you have to watch out for Deep Vein Thrombosis (DVT).

Estradiol Cypionate (EC), Estradiol Valerate (EV), Patches, Gel and pills (not Premarin or EE) are 17b bio-identical Estrogen's and are the same as the body produces naturally and is very easy on the liver. The pills if swallowed are harder on the liver by making a first pass thru the liver, if taken sublingually, under the tongue or between the cheek and gum more estrogen gets absorbed into the bloodstream and less get the first pass thru the liver.

EC and EV are injected intramuscular (IM) and most Doctors or Endo's won't prescribe these due to their fear patient's will take more than prescribed.

Doctors and Endo's generally give pills to persons under 40 and patches or gel to those over.

Paula.

Link to comment
Guest Elizabeth K

"Doctors and Endo's generally give pills to persons under 40 and patches or gel to those over."

Not in my case - I was given a choice but the gell and parch seemed more lkely to cause skin irritation.

And it seems Premarin IS often used.

But under the tongue works well - the pills (Estridoil) are rather sweet.

Lizzy

Link to comment
Guest Little Sara

It seems natural estradiol, called Estrace or Estrofem generally is bio-identical and most effective when taken sublingally, for the pill form. I take pills myself.

Got no intention of stopping for any reason and got no sperm anyways.

Link to comment
Guest angie
It seems natural estradiol, called Estrace or Estrofem generally is bio-identical and most effective when taken sublingally, for the pill form. I take pills myself.

Got no intention of stopping for any reason and got no sperm anyways.

Estradiol Valerate is the only way to go to get the estrogen levels needed for a complete transition.

In truth,your body will eliminate/ urinate almost all of the estrogens taken sublingually daily.

But some is far better then none.

There is no harm in deciding that transition isn't right for you.Of the one hundred that will start taking HRT,one will make it all the way to womanhood.It is after six months of full HRT that the

results become irreversible,you will be sterile.The physical changes will revert,but your sperm count

will not get back to what it was prior to your experiment with hormone therapy.There is no harm/no

foul in saying this isn't right for me,or I am not ready yet.

Only YOU can know if this is truly your path.

Peace Sisters,

Angie

Link to comment
Guest Little Sara
Estradiol Valerate is the only way to go to get the estrogen levels needed for a complete transition.

In truth,your body will eliminate/ urinate almost all of the estrogens taken sublingually daily.

But some is far better then none.

There is no harm in deciding that transition isn't right for you.Of the one hundred that will start taking HRT,one will make it all the way to womanhood.It is after six months of full HRT that the

results become irreversible,you will be sterile.The physical changes will revert,but your sperm count

will not get back to what it was prior to your experiment with hormone therapy.There is no harm/no

foul in saying this isn't right for me,or I am not ready yet.

Only YOU can know if this is truly your path.

Peace Sisters,

Angie

I was never able to orgasm. Now, after 2 years, 11 months and 10 days of HRT, even less chances. I'm completely infertile. I always was as far as I know.

Estradiol valerate is a lot more toxic to the liver though, isn't it? If you have to take medication for 30-40 years at least (supposing you live to be 60 and start at 20), it's better imo to do it while being healthy, and actually reaching 60, not 40 because of liver failure or blood clots or whatever else.

The changes have long since been irreversible, but I have no intention to revert them either. Not that there is much to revert to (that is, I never was adult male, physically speaking, so I would revert to what, a neutral pre-pubertal state?).

I would rather die than to revert, even at gunpoint.

Link to comment
Guest Little Sara

Okay, the forum software translated the word c-u-m for orgasm. Those are not equivalent. The forum should know better.

I think much of the filters around words related to sex are misplaced on a forum about trans and intersex, as well. Cause yeah, sexual function and anatomy are par for the course in some topics.

Link to comment
Guest angie
I was never able to orgasm. Now, after 2 years, 11 months and 10 days of HRT, even less chances. I'm completely infertile. I always was as far as I know.

Estradiol valerate is a lot more toxic to the liver though, isn't it? If you have to take medication for 30-40 years at least (supposing you live to be 60 and start at 20), it's better imo to do it while being healthy, and actually reaching 60, not 40 because of liver failure or blood clots or whatever else.

The changes have long since been irreversible, but I have no intention to revert them either. Not that there is much to revert to (that is, I never was adult male, physically speaking, so I would revert to what, a neutral pre-pubertal state?).

I would rather die than to revert, even at gunpoint.

Hi Sara,

I am a fifty three year young woman.My transition,due to being on IM,Intra Muscular Injectables,

has in two years May Fifth,been very good to me.I have B cup breasts,a narrow waist,rounded womanly thighs,bigger nicer bottom,thicker,fuller hair,a rounding out face,baby smooth skin,and look no where near my real age.I look like a woman,for real.

Yeah us middle years chicks don't get as much feminizing as you young chickies do,but we do hold

our own.We some sexy older ladies.(griiin)

Big hugs young lady,

Angie

Link to comment
Guest Little Sara

I only have A cups, though I'll say my fat ratio is extremely low. Very skinny and narrow waist fails to convey how small I am. My thighs and bum are not big though, still teenager-skinny.

I'm oftenly taken to be 17-18 years old. While I'm 26.

Link to comment

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Who's Online   3 Members, 0 Anonymous, 63 Guests (See full list)

    • MaryEllen
    • BUGFIEND
    • SamC
  • Recently Browsing   0 members

    • No registered users viewing this page.
  • Forum Statistics

    • Total Topics
      80.8k
    • Total Posts
      770.2k
  • Member Statistics

    • Total Members
      12,103
    • Most Online
      8,356

    BUGFIEND
    Newest Member
    BUGFIEND
    Joined
  • Today's Birthdays

    1. Ale975
      Ale975
      (27 years old)
    2. BillieB
      BillieB
      (65 years old)
    3. BrokenDays
      BrokenDays
      (34 years old)
    4. Bryson
      Bryson
      (25 years old)
    5. Jolie
      Jolie
  • Posts

    • Lydia_R
      This internet video thing is pretty amazing.  I'd call it Zoom, but there are other platforms out there.  I prefer Zoom over Teams because Zoom puts me and everyone else in the same picture.  I like seeing the whole group in one shot.  Teams of course is about having so many people that you can't get them in the shot, or is it?   Just saying that I have never met any of my counselors in person.  Doctors, of course I have and I am lucky there.  They are 3.5 miles from my house as is the main transgender surgery place in town.  I've been doing virtual visits with the medical doctors lately though.  It feels like once I became steady state, they don't need to interact with me physically that much.  I have enjoyed going into their office in my nice clothing.
    • awkward-yet-sweet
      I guess a lot depends on where you start and where you wanna end up.  For me, doing the "boy form" thing has come with disadvantages.  Smaller skeleton, thinner bones, and skinny/tiny everything.  I'll never be taken seriously.  I guess the advantage is that my way of blending in is just kind of confusing.  "Mommy, is that a boy or a girl?"    One of the biggest arguments for starting transition early in life is I think it gives a person a greater ability to pass.  My two MtF friends started early, and pass really well.  They never got to the larger bone structure, beard, deep voice stuff.  Me being intersex (which is more complicated) and not getting around to "boy form" until my 30's, my body size and features were pretty much set in stone.      You're lucky.  Some folks pay all that and more, even AFTER insurance.  One of my friends faced the choice last year - pay for her final year of college or pay for her meds.  She's taken a year off from college to work and save up money to finish.    My medical expenses have been more injury-related than therapy or medication   The state covered some of it with a fund for crime victims, insurance covered a lot, but there's ended up being a few thousand dollars spent out-of-pocket since 2022 to put me back together again.  I've never found a decent therapist, but my husband has a psych degree among other things, so I figure talking with him is almost as good.  I do have a good doctor, although I have to drive a long way to a big city to see her.  Mostly she takes a basic look at me, and writes another year's prescription.  Since I'm non-op and only using testosterone cream for a localized effect, its pretty simple stuff. 
    • Lydia_R
      I'm a tracker and I've paid for 100% of my transition costs out of pocket.  Counseling was a huge, huge part of my transition and well worth my money.  Not to be uppity about all of this.  I'm just sharing information I have because I have it and it may be useful for others.  Here is my analysis of my spending on transition over the last 2.5 years:   Medical Doctors and Blood Draws: $2,397 Counseling: $3,800 Medications (brand name): $2,702.85 Medications (generic): $485.39 Total: $9,385.24   I picked up on the internet early in transition that transition is a consumer activity.  I tend to agree with that.   This year (Jan - May 18th, 2024), I've spent: Medical Doctors: $102 Medications: $241.52 Total: $343.52   So I'm on a much more sustainable path with it.  I'm pretty happy with where I am with it, although I do still desire surgery and am nervous about how that will all unfold.  But my doctors have me on this steady state thing.  I could seek out other medications, but what I'm doing is good enough.  Oh, I'm missing something....  I did a bunch of electrolysis that didn't appear to have any effect.  I've always enjoyed shaving and I use pink shaving cream now (I've got some lipstick blond in me).  It's good enough.  Not sure if I'll do electro or laser in the future.  The need to shave my body has become less and less.  Before HRT, I was shaving my body weekly or even every 5 days.  Now it is more like 2-3 weeks.  Everyone's body hair is different.  My beard is very coarse and stiff while my body hair has been somewhat minimal and light.  It's nice to have smooth legs and not have to shave as much.   Counseling was $200/session.  I tried one or two counselors before I found one who resonated with where I really was.  When I was prescribed HRT, I didn't fill the prescription until 4 months later.  I had to take some time to decide that I really wanted to take on that lifetime financial commitment.  And of course the possibly negative health consequences too, but I think I was actually thinking more about the finances of it all.  Maybe 51%.   I did a lot of work to revitalize my career before jumping into medical transition.  I started counseling 3 months before I got the best paying job of my life.  The pressure of wanting to transition was so great that I couldn't wait any longer.  She was coming out.  Even though I had very little money, I splurged on some nice dresses and a full length mirror and then started counseling.  Sometimes you just have to move forward and hope for the best.  Other times it is better to wait and do some hard work.  The grace of it all..
    • Ivy
      And when the pressure is released it sucks in heat.  I had a regulator leaking and it was covered with ice.  It's how a heat pump works as well.   Why do they always pick names like this?  It's like the exact opposite of what it really is. I hate politics so much.  But I still have to follow it.
    • Lydia_R
      Wonderful!  This reminds me of a discussion I had with my brother a decade ago.  I said that things expand when they get hotter.  He said, no, they expand when they get colder.  And I had to think about that for a while.  The weird thing is that H20 is special in that when it reaches freezing, it expands.   The pressure makes the cold and then we see the condensation.
    • KatieSC
      I used to have a really good therapist, however, she does not accept health insurance reimbursement fees as they are too low. I had to pay 130 per session. When she decided to jack the rates to 185 per hour, I cut bait. Without a doubt, counseling is very helpful. What concerns me greatly is that we are a vulnerable population. Unfortunately, we can easily be targeted for some pretty high fees. How many of us have been in the situation where our healthcare provider, surgeons, or counselors, have required cash payments? We get jammed as well by the health insurance companies as they often will not pay for items that could be essential to our well-being. It is my contention that our chances of being targeted for violence, death, or harassment, go up when we cannot easily blend in with the female population.    For those of us that are MTF, some of us are blessed with more feminine features, and many of us are not. We get the whammy of a larger skeleton, bigger hands, bigger feet, a beard, a deep voice, and masculine face. It takes a lot for some of us to be able to blend in. My belief is that the better we blend in, the better chance we have of not being targeted. In this, electrolysis, facial feminizing/gender affirming facial surgery, voice/speech therapy with voice feminization/gender affirming voice surgery, and body contouring are all potentially lifesaving. Unfortunately, many of the insurance companies deem the procedures as cosmetic, and yet there is no cosmetic that fixes all of these issues.    If you pay your money, you can get anything you want in this world. The sad reality is that for us, many of these procedures would enhance our lives tremendously, yet we face ongoing battles with our very existence. Yeah, an empathetic therapist helps, but is it just the concept of reasonable empathy at a reasonable cost? When my therapist jacked her rates to 185 per hour, I said enough is enough. Your mileage may vary.
    • awkward-yet-sweet
      I don't think the temperature matters as much.  Think about how gases like CO2 are stored in cylinders, and they are basically the same in summer or winter.  Any gas becomes liquid under enough pressure.  What does matter is the strength of the pressure vessel.  If exposed to excess external heat, pressure increases and can burst a tank or a pipe.  Household propane tanks are often painted white or silver and have safety release valves, because sunlight can heat a tank enough to cause a significant increase in internal pressure, even though the contents remain liquid. 
    • awkward-yet-sweet
      It has been a long week, and I think this weekend is going to be pretty busy.  The high school is having their graduation later today.  Although we don't have any grads in our family this year, my husband is going because he's involved with the school.  And tonight there's the torchlight ceremony for the county cadets who are finishing their program, and the reading of assignments for the new seniors.  One of my stepkids will be a senior this year.  She's talented, and will be assigned a squad leader position.  My husband is really proud of her, and she's well-liked by her peers even though she's very quiet and serious.    I might get to go on a trip to Texas this week.  The storms that hit Houston caused a lot of electrical damage, so no doubt the utilities in that area will be ordering stuff from my husband's company.  When the big hurricane hit Florida in 2022, we made several trips there with badly-needed equipment, and the entire transportation department was involved in the first convoy.  When he travels, I usually want to go along, since 1-on-1 time is kind of rare for us. 
    • Mmindy
    • Lydia_R
      Maybe surface tension?   I was in a political debate yesterday and it got way too focused on social stuff and I just had to steer the conversation back to how natural gas transitions to a liquid under pressure.  One of the people I was debating had a career working in that field and it was a good opportunity to expose stuff like that.  He mentioned that it isn't just pressure, it is temperature too.  So then I mentioned how the lines are running underground and asked how that played a role in it.  He came back saying that natural gas is a liquid under pressure.  I guess I didn't get a straight answer on that, but it did move my thinking one step down the road.  Perhaps I should have been more direct with him and asked him at what temperature and pressure.  Is there a chart?   I feel people would be better off if they paid more attention to the objects in their environment instead of focusing on some of the things that we hear so much of in the news.  People are pretty clueless as to how much trigonometry plays a role in so many things in our society.  Even land surveyors don't really use it anymore because programmers locked it away in a function.  Much like how cascading style sheets (CSS) is a wrapper for math.  I wonder what former president Trump thinks about all of that?  He must have some knowledge of how his buildings are constructed, right?  There certainly is a part of me that thinks he is just putting on a show about all of this.  Perhaps I'm wrong though.  All kinds of people in the world.
    • Jani
      Me as well.  I can use my left hand for many tasks though.
    • Jani
      Hello Jennifer and welcome back.  I find New England to be a great place to live.  I have a number of acquaintances and friends in Maine and I love the state.  It seems you are doing well.     Hugs,  Jani
    • MirandaB
      Oh, my "maybe this person is an egg" story is the (male presenting) piercing person and I discussed body hair removal methods, he says he doesn't want any hair except on his head, which is what I said during a couple hair removal sessions before and just after the egg cracked.     
    • Karen Carey
      I, too, am lucky.  Here in the UK I have a great therapist, a fully supportive GP, and a psychiatrist and endo who look after me and my needs.  I found the therapist on Psychology Today.
    • Lydia_R
      Over the last few years of being on this site and going through medical transition, I've come to own the M->F identification.  Funny, I made a typo of M->T.  It is a curiosity if I'll ever put Gender: Female on this site.  It is my intention to be there someday.   Right now, because of career stuff and a high stress event with an electric hair clipper last fall, I'm feeling much more masculine than I would like.  I think that once I make some decent headway with my third career, I'll settle into a more feminine feeling.   I never really considered gender very much.  I certainly always used a feminine appearance as my presentation goal. I think that when I was young, I briefly had the idea of transitioning, but I convinced myself quickly that medical transition would be a bad outcome, so I put all those feelings and ideas in the closet for decades.  I'm still very apprehensive about medical transition.  I've always taken health to be a high priority for me.  I wrote a book last December about my fears of it all and my conclusion ultimately is that sometimes there is more to life than being a pillar of health.  It's important to take some chances if that is where your heart takes you.
  • Upcoming Events

Contact TransPulse

TransPulse can be contacted in the following ways:

Email: Click Here.

To report an error on this page.

Legal

Your use of this site is subject to the following rules and policies, whether you have read them or not.

Terms of Use
Privacy Policy
DMCA Policy
Community Rules

Hosting

Upstream hosting for TransPulse provided by QnEZ.

Sponsorship

Special consideration for TransPulse is kindly provided by The Breast Form Store.
×
×
  • Create New...